Olusegun Adetuyi, MD, MPH
Family Medicine in Phoenix, Arizona
1417275033- Practice location
- 4212 N 16TH St, Phoenix, AZ 85016-5319
- Phone
- 602-263-1200
- Fax
- 602-263-1619
- Last updated
- January 15, 2024
Olusegun Adetuyi, MD, MPH is a Family Medicine based in Phoenix, AZ. Olusegun Adetuyi, MD, MPH holds the professional credentials of MD, MPH. The NPI number for Olusegun Adetuyi, MD, MPH is 1417275033 and holds license No. A122119 (CA). The current practice location address is 4212 N 16TH St, Phoenix, AZ 85016-5319 and the office can be reached by phone at 602-263-1200 and by fax at 602-263-1619. The NPI was assigned on May 6, 2010 and the record was last updated in NPPES on January 15, 2024.
●Provider Profile Details
- NPI Number
- 1417275033
- Provider Name
- Olusegun Adetuyi
- Credential
- MD, MPH
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- Yes
- Enumeration Date
- May 6, 2010
- Last Update Date
- January 15, 2024
- Certification Date
- January 15, 2024
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 4212 N 16TH St
Phoenix, AZ 85016-5319 - City
- Phoenix
- State
- Arizona
- ZIP
- 85016-5319
- Country
- US
- Phone Number
- 602-263-1200
- Fax Number
- 602-263-1619
✉Business Mailing Address
- Address
- Po Box 3514
Redondo Beach, CA 90277-1514 - City
- Redondo Beach
- State
- CA
- ZIP
- 90277-1514
- Phone Number
- 559-572-2583
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Hospitalist | 208M00000X | No | A122119 | CA |
| Family Medicine | 207Q00000X | Yes | A122119 | CA |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Phoenix →?Frequently Asked Questions
What is the NPI number of Olusegun Adetuyi, MD, MPH?
The NPI number of Olusegun Adetuyi, MD, MPH is 1417275033. It was assigned on May 6, 2010 and is currently active in the NPPES registry.
What is the specialty of Olusegun Adetuyi, MD, MPH?
Olusegun Adetuyi, MD, MPH is registered under the primary taxonomy Family Medicine (code 207Q00000X) and holds license No. A122119 (CA).
Where does Olusegun Adetuyi, MD, MPH practice?
The practice location is 4212 N 16TH St, Phoenix, AZ 85016-5319. The office can be reached at 602-263-1200 (phone) or 602-263-1619 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417275033 directly on the NPPES registry website at npiregistry.cms.hhs.gov.